How to Deal with Varicose Veins and Spider Veins in Pregnancy

Reviewed by: Dr. Fatimah Khan

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5 min read

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Mar 28, 2025

Pregnancy brings so many beautiful changes—but some are less welcome than others, like varicose veins and spider veins. If you’ve noticed swollen, twisted veins on your legs or tiny red and blue veins spreading like a web, you’re not alone. These changes are common during pregnancy, but the good news is that there are ways to manage them and keep your legs feeling as good as possible!

What Causes Varicose and Spider Veins During Pregnancy?

Varicose veins are enlarged, swollen veins that often appear on the legs, while spider veins are smaller, web-like veins that are usually red or blue. Pregnancy increases the likelihood of both due to:

  • Increased Blood Volume: Your body produces more blood to support your growing baby, which puts extra pressure on your veins.
  • Hormonal Changes: Pregnancy hormones, especially progesterone, relax blood vessel walls, making it easier for veins to become swollen.
  • Pressure from the Growing Uterus: As your baby grows, the uterus presses on veins in the lower body, slowing blood flow back to the heart and increasing vein swelling.
  • Genetics: If your mom or grandmother had varicose veins during pregnancy, chances are you might experience them too.

How to Prevent and Manage Varicose and Spider Veins

While you can’t always prevent these veins, you can take steps to reduce discomfort and minimize their appearance.

1. Keep Moving!

Staying active improves circulation and prevents blood from pooling in your legs. Try:

  • Walking daily
  • Prenatal yoga
  • Swimming
  • Light stretching

2. Elevate Your Legs

When sitting or resting, prop your legs up on a pillow to encourage blood flow back to your heart. Avoid crossing your legs, as this can restrict circulation.

3. Wear Compression Stockings

Compression socks or stockings gently squeeze your legs, promoting better blood flow and reducing swelling. They can be especially helpful if you’re on your feet a lot.

4. Sleep on Your Left Side

Sleeping on your left side reduces pressure on the main vein that carries blood back to your heart, helping with circulation.

5. Stay Hydrated and Eat Well

Drinking plenty of water and eating fiber-rich foods can prevent constipation, which can contribute to vein problems. Include:

  • Leafy greens
  • Whole grains
  • Fruits like berries and oranges

6. Avoid Standing or Sitting for Long Periods

If you have to stand for a long time, shift your weight from one foot to another and take breaks to sit. If you sit for long periods, stand up and stretch your legs regularly.

7. Wear Loose, Comfortable Clothing

Tight clothing can restrict circulation, so opt for loose-fitting maternity wear. Also, avoid high heels and opt for supportive shoes.

Will Varicose Veins Go Away After Pregnancy?

In many cases, varicose veins improve after delivery, especially if they were pregnancy-related. However, for some women, they may persist. If they cause discomfort or don’t improve over time, talk to your doctor about treatment options, including laser therapy or sclerotherapy.

When to See a Doctor

While varicose veins are usually harmless, seek medical advice if you experience:

  • Severe pain or swelling in one leg
  • Skin ulcers near the veins
  • A warm, red, or hard vein (which could indicate a blood clot)

Final Thoughts

Varicose and spider veins may not be the most fun part of pregnancy, but with a few lifestyle changes, you can keep them under control. Stay active, elevate your legs, and take care of your circulation. Most importantly, remember that your body is doing something incredible—bringing new life into the world!

References

  1. "Varicose Veins During Pregnancy: Types, Causes & Treatment" – Cleveland Clinic​ https://my.clevelandclinic.org/health/diseases/23331-varicose-veins-in-pregnancy
  2. "What to Know About Spider Veins During Pregnancy" – WebMD​ https://www.webmd.com/baby/what-to-spider-veins-during-pregnancy
  3. "Management of Varicose Veins During Pregnancy" – National Center for Biotechnology Information (NCBI) https://www.ncbi.nlm.nih.gov/books/NBK470194/